TRACY C WILSON (NPI# 1033256938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033256938 |
| Entity Type | Individual |
| Full Name | TRACY C WILSON |
| Credential | M.ED. |
| Practice Address |
215 Bradley St Carrollton GA 30117-3217 |
| Practice Telephone | 7708329140 |
| Practice Fax Number | 7708323046 |
| Mailing Telephone | 7708329140 |
| Mailing Fax Number | 7708323046 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2748 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 844101180A | 05 | |
| GA | CAQH | 11643300 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
| 1699892612 | Tracy Lynn Wilson | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740 | 2007-03-23 |
| 1790840296 | Tracy Wilson | Occupational Therapist | 2422 Saint George Way, Brookeville, MD 20833-3265 | 2006-12-26 |
| 1548343205 | Tracy Allison Wilson | Specialist | 1000 Bible Way Ste 73, Reno, NV 89502-2134 | 2006-10-23 |
| 1588278329 | Tracy Wilson | Technician | 281 Maple Ave, Oak Hill, WV 25901-3475 | 2020-08-31 |
| 1932686391 | Tracy Wilson | Case Manager/Care Coordinator | 1421 Hamlet St, Columbus, OH 43201-2599 | 2018-07-27 |
| 1568995587 | Tracy Wilson | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2017-04-06 |
| 1245644186 | Tracy A Wilson | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2014-06-18 |
| 1265853055 | Tracy Wilson | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2013-12-20 |
| 1902232325 | Tracy M Wilson | Occupational Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2013-09-17 |
| Street Address |
215 BRADLEY ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659849867 | Jamie Gaddy | Counselor | 215 Bradley St, Carrollton, GA 30117-3217 | 2018-11-06 |
| 1932645223 | Connie Hunt | Counselor | 215 Bradley St, Carrollton, GA 30117-3217 | 2017-01-11 |
| 1326405317 | Jamie Meyer | Counselor | 215 Bradley St, Carrollton, GA 30117-3217 | 2016-01-21 |
| 1639446768 | Kimberly Anne Harman | Counselor | 215 Bradley St, Carrollton, GA 30117-3217 | 2011-11-17 |
| 1306176797 | Resolutions Counseling Inc. | Counselor | 215 Bradley St, Carrollton, GA 30117-3217 | 2010-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972114643 | Jeremy Daniel Shain | Counselor | 101 Myrtle St, Carrollton, GA 30117-2212 | 2020-08-14 |
| 1245867233 | Stephanie Renay Butler | Counselor | 523 Dixie St Ste A, Carrollton, GA 30117-3870 | 2020-03-27 |
| 1619513751 | Melissa Florine Cochran | Counselor | 523 Dixie St Ste B, Carrollton, GA 30117-3870 | 2019-11-25 |
| 1225556798 | Kimberly Watkins | Counselor | 2688 Us Highway 227, Carrollton, KY 41008-8030 | 2017-09-06 |
| 1053772574 | Dieula Previlon | Counselor | 1518 E Frankford Rd, Carrollton, TX 75007-5623 | 2016-03-10 |
| 1437515822 | Susan Lyn Butler | Counselor | 122 Lee St, Carrollton, GA 30117-3315 | 2016-01-14 |
| 1427420629 | Kenneth R. Mcgowan | Counselor | 523 Dixie St Ste 4, Carrollton, GA 30117-3870 | 2015-10-27 |
| 1396116687 | Lisa Duffey | Counselor | 151 Howell Rd, Carrollton, GA 30117-4220 | 2015-10-12 |
| 1881060200 | Alicia Brigham | Counselor | 4020 Huffines Blvd Ste 121, Carrollton, TX 75010-6524 | 2015-08-19 |
| 1467832378 | Olga Garcia Swan | Counselor | 4311 Harvest Hill Rd, Carrollton, TX 75010-4127 | 2015-06-05 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on TRACY C WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.